MYCHEAL L MIMES

SHREVEPORT, LA
NPI1417485012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies104100000X Social Worker
Enumeration Date2017-05-25
Last Update Date2018-05-23
Business Address
MYCHEAL L MIMES
1500 N MARKET ST UNIT C
SHREVEPORT, LA 71107
Phone number: 318-626-5597
Mailing Address
MYCHEAL L MIMES
1500 N MARKET ST UNIT C
SHREVEPORT, LA 71107-6537
Phone number:
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